| NPI | 1033746888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 82147) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125075725) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2023-10-20 |