| NPI | 1275570699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME140577) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C146051) |
| 207Q00000X Family Medicine (Licence: IL 036102783) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-14 |