| NPI | 1700032448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME107448) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.122946) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2020-10-13 |