| NPI | 1396962445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2018-0740) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036113944) |
| 207Q00000X Family Medicine (Licence: IA 32995) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-07-17 |