| NPI | 1720060072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 036150211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 11751) |
| 208600000X Surgery (Licence: CA A94124) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2019-08-27 |