| NPI | 1225279979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S3911) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.127338) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2021-07-19 |