| NPI | 1396373007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.171023) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 80104-21) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2026-04-23 |