| NPI | 1881041291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.170194) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD193193) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-08-08 |