| NPI | 1457680076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A126054) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125056800) |
| 207Q00000X Family Medicine (Licence: TX P3447) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2022-04-18 |