| NPI | 1811336118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME143982) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036132443) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2020-03-18 |