| NPI | 1528157468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.094506) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 36336) |
| 207Q00000X Family Medicine (Licence: IL 036-098387) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-03-18 |