| NPI | 1972865020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2012016475) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036138592) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2020-11-10 |