| NPI | 1730767419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036171644) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 9173) |
| 207Q00000X Family Medicine (Licence: WI 77357) | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-10-14 |