| NPI | 1558890590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.156885) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV SL1186) |
| 207Q00000X Family Medicine (Licence: CO DR.0064091) | |
| 207Q00000X Family Medicine (Licence: NE 1956) | |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2022-02-15 |