| NPI | 1831356831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM A148108) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036120766) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2019-04-24 |