| NPI | 1639219934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036072089) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 35559-20) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2021-01-24 |