| NPI | 1730445743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME124206) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036144058) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2019-06-12 |