| NPI | 1184070963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 73307) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.162807) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-07-11 |