| NPI | 1952864977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125075203) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 318019) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-02-16 |