| NPI | 1558893974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101028173) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.174327) |
| 207Q00000X Family Medicine (Licence: WA OP61083390) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2026-05-29 |