| NPI | 1801020847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.130823) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2017-0868) |
| 207Q00000X Family Medicine (Licence: LA 204949) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2019-12-02 |