| NPI | 1851957120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2021029331) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125074529) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2023-08-24 |