| NPI | 1982726097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 242585-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.117859) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2018-12-10 |