| NPI | 1265608038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.159561) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 065557) |
| 207Q00000X Family Medicine (Licence: VA 0101256472) | |
| 207Q00000X Family Medicine (Licence: GA 065557) | |
| 207Q00000X Family Medicine (Licence: FL ME120943) | |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: OH 35125100) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2022-06-30 |