| NPI | 1437504248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY P01552) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-163316) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2026-01-16 |