| NPI | 1962039677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102207975) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125075466) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-07-21 |