| NPI | 1396239455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2021-02986) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125073060) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2021-11-10 |