| NPI | 1447309208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T8395) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036096929) |
| 207Q00000X Family Medicine (Licence: IL 036096929) | |
| 207Q00000X Family Medicine (Licence: IN 01058238A) | |
| 207Q00000X Family Medicine (Licence: WI 46026-020) | |
| 207Q00000X Family Medicine (Licence: MI 4301503319) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2025-05-05 |