| NPI | 1528159068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-03951) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 36114201) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-12-29 |