| NPI | 1740220086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 067198) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036174560) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-06-17 |