| NPI | 1093277329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2022002658) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125074546) |
| 207Q00000X Family Medicine (Licence: IL 125-XXXXXX) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2022-07-25 |