| NPI | 1508386533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 336878) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036153808) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-09-19 |