| NPI | 1942286125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2014012160) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-114307) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2023-08-02 |