| NPI | 1801537634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.018162) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 125080966) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2026-05-12 |