| NPI | 1831319748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 70511) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-117404) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2025-03-19 |