| NPI | 1265922728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 325609) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.160026) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2023-11-30 |