| NPI | 1598144347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 20596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125066654) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2021-11-19 |