| NPI | 1700267515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 145987) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.066608) |
| 207Q00000X Family Medicine (Licence: AR E-11588) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2021-07-13 |