| NPI | 1437545183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.159115) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 66719-21) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2024-05-06 |