| NPI | 1689994014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-133693) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 101592) |
| 207Q00000X Family Medicine (Licence: WI 83732-20) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2024-04-26 |