| NPI | 1649370941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 51187) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036113272) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-01-22 |