| NPI | 1700086709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 036123200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125051044) |
| 207Q00000X Family Medicine (Licence: IL 036123200) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2021-02-17 |