| NPI | 1700529583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 337776) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125080790) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2025-07-11 |