| NPI | 1770627895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102203116) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-116984) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-06-26 |