| NPI | 1629332127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2021044775) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 27718) |
| 207Q00000X Family Medicine (Licence: IL 036149571) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2024-07-25 |