| NPI | 1427632280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 86443-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.169495) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2025-11-13 |