| NPI | 1477933430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 295554) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125067349) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2023-02-13 |