| NPI | 1184917981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 28326) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036133692) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2025-07-28 |