| NPI | 1396972865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S2576) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125056753) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2020-11-20 |