| NPI | 1679701395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036144365) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2014024079) |
| 207Q00000X Family Medicine (Licence: CT 50745) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2020-06-29 |