| NPI | 1043835614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-166191) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 102962) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-09-10 |