| NPI | 1912136011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD162147) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036129576) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2021-03-18 |