| NPI | 1295239861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.142175) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.166476) |
| 207Q00000X Family Medicine (Licence: DE C1-0028069) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-04-02 |