| NPI | 1942263405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 28206) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036085495) |
| 207P00000X Emergency Medicine (Licence: IL 036-085495) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2017-01-20 |