| NPI | 1922237023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 71232) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-129203) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2021-12-02 |