| NPI | 1588083232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 67162) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125065487) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-11-13 |