| NPI | 1720366917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101266052) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036134657) |
| 207Q00000X Family Medicine (Licence: IL 125.060007) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2025-04-24 |