| NPI | 1023458171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 66036-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125063552) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2021-12-06 |