| NPI | 1306410105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U3692) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 36168855) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-04-22 |