| NPI | 1992799225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2000161368) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036155436) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2023-03-07 |