| NPI | 1386106805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 81009-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125074959) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2022-08-12 |