| NPI | 1740213503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 45153) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-108660) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-03-28 |