| NPI | 1962026005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.151524) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036161750) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2024-10-29 |