| NPI | 1700224573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-143655) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD458896) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2021-05-04 |