| NPI | 1396368759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301510423) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.076502) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-10-20 |