| NPI | 1518173558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD439987) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036122216) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125051391) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-06-10 |