| NPI | 1730641176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC DO210012288) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.161007) |
| 207Q00000X Family Medicine (Licence: MD H0097769) | |
| 207Q00000X Family Medicine (Licence: VA 0102208204) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2023-09-25 |