| NPI | 1932696242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036160469) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11090) |
| 207Q00000X Family Medicine (Licence: NH 22050) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2022-12-02 |