| NPI | 1598735102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 73851) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0079378) |
| 207Q00000X Family Medicine (Licence: IL 036.146713) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2023-09-28 |