| NPI | 1730396268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2014-02156) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036116893) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2019-12-02 |