| NPI | 1821319419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 036132644) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125058400) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2020-02-04 |