| NPI | 1346739604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 7445-851) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.074047) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2021-11-24 |