| NPI | 1922045475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 14094) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036153853) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-01-29 |