| NPI | 1083234421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125075715) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.075715) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2021-08-11 |