| NPI | 1154999878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD485943) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125078974) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-07-17 |