| NPI | 1629539655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 73994) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036161763) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2025-09-02 |