| NPI | 1033591789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.161926) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101021889) |
| 207Q00000X Family Medicine (Licence: TN 4666) | |
| 207Q00000X Family Medicine (Licence: MO 2023040087) | |
| 207Q00000X Family Medicine (Licence: KY 05214) | |
| 207Q00000X Family Medicine (Licence: IN 02005302A) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2026-03-27 |