| NPI | 1538372156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M2661) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX M2661) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 36116041) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2026-08-06 |