| NPI | 1124647268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-166751) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 80101-21) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2023-09-26 |