| NPI | 1912273012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME138093) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 36137078) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2023-01-26 |