| NPI | 1578069282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036166519) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP04410) |
| 207Q00000X Family Medicine (Licence: CA A174549) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-01-02 |