| NPI | 1417268301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35125189) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.058834) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2021-01-11 |