| NPI | 1609800358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M4461) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036112222) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-01-16 |