| NPI | 1689150179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.149359) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-156592) |
| 207Q00000X Family Medicine (Licence: IL 125-072799) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2023-10-10 |