| NPI | 1902048234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036134565) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 49452) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2021-01-12 |