| NPI | 1578593257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 53914-21) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036112948) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-09-18 |