| NPI | 1558980185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-55696) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.171216) |
| 207Q00000X Family Medicine (Licence: CO DR.0070775) | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2026-08-13 |