| NPI | 1487786604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D86299) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD444004) |
| 207Q00000X Family Medicine (Licence: IL 036121002) | |
| 207Q00000X Family Medicine (Licence: VA 0101280325) | |
| 207Q00000X Family Medicine (Licence: WI 50022) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2026-07-17 |