| NPI | 1568446110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 40209) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036174434) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2025-07-14 |