| NPI | 1659371276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036143344) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J0317) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2021-08-09 |