| NPI | 1285125781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036154375) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 82107-20) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2025-09-06 |