| NPI | 1336888403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 17663) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125079748) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2025-08-13 |