| NPI | 1235493347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-38319) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.062163) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2023-04-28 |