| NPI | 1043771934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036165172) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 57.247371) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-09-05 |