| NPI | 1639369598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME95331) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036123124) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2024-09-16 |