| NPI | 1780038893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2019024498) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036149125) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2023-03-13 |