| NPI | 1659509834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036128521) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 57078) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2021-10-05 |