| NPI | 1053940924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.151750) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.164812) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-09-13 |