| 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 |