| NPI | 1699116186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036136265) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.060665) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2019-12-26 |