| NPI | 1912949025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036122730) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00046115) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-12-16 |