| NPI | 1528027398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036153954) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0077020) |
| 207Q00000X Family Medicine (Licence: VA 0101236096) | |
| 207Q00000X Family Medicine (Licence: WI 67600) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2023-08-08 |