| NPI | 1750692216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD042524) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036133642) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2018-05-30 |