| NPI | 1710142880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N6235) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.125545) |
| 207Q00000X Family Medicine (Licence: TX BP10028672) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2019-11-04 |