| NPI | 1134488554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 1123) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036163548) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IL 036163548) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2023-03-23 |