| NPI | 1386844744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P9888) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-123322) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2024-06-20 |