| NPI | 1245892272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V2472) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125074533) |
| 207Q00000X Family Medicine (Licence: CA A176510) | |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2024-10-15 |