| NPI | 1720216930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101027956) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036129861) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2024-08-06 |