| NPI | 1629194089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.118767) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 76992) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2025-06-20 |