| NPI | 1770945222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036150987) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY IP1538) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-04-05 |