| NPI | 1467600262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036108551) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD 00034791) |
| 207Q00000X Family Medicine (Licence: CA C54713) | |
| 207Q00000X Family Medicine (Licence: MA 252545) | |
| 207Q00000X Family Medicine (Licence: OH 35069389) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2016-02-11 |