| NPI | 1366869497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35135732) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 336.104842) |
| 207Q00000X Family Medicine (Licence: IL 036143463) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2019-07-24 |