| NPI | 1487228748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.018015) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036173241) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2025-08-22 |