| NPI | 1417440256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WI 8109321) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.072818) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-05-30 |