| NPI | 1497973358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A103196) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 36117752) |
| 207Q00000X Family Medicine (Licence: AZ 38150) | |
| 207Q00000X Family Medicine (Licence: OH 35.091337) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-02-11 |