| NPI | 1699114470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.158932) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2016025934) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2022-01-11 |