| NPI | 1841214012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2011011569) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036103562) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-05-16 |