| NPI | 1851740930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.015377) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.148576) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2021-10-13 |