| NPI | 1114033669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-100449) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 35409) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2025-07-02 |