| NPI | 1750952115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125078090) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.078090) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |