| NPI | 1801864178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 2356) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A10664) |
| 207Q00000X Family Medicine (Licence: IL 036130673) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2019-02-13 |