| NPI | 1043694045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-144164) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 125067701) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2023-04-25 |