| NPI | 1215258637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60450928) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125058232) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2020-12-02 |