| NPI | 1942599808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2024024841) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036134156) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2024-07-31 |