| NPI | 1669886818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.142606) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301105200) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-02-23 |