| NPI | 1902160856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036137085) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 61119) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-09-03 |