| NPI | 1629311220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 72379) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-140632) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2022-10-20 |