| NPI | 1477202802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO3924) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.080287) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-09-11 |