| NPI | 1164915575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.151064) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-157620) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2024-06-18 |