| NPI | 1891783098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 52499) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036106648) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2024-01-31 |