| NPI | 1336776400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 75182) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 1336776400) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-08-25 |