| NPI | 1295843621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L5175) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036148013) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2022-07-21 |