| NPI | 1164051355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036164174) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35147364) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-08-02 |