| NPI | 1952475436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036121432) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00045486) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-03-07 |