| NPI | 1598105843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD459096) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.063738) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2021-03-02 |