| NPI | 1811480304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U3248) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.072860) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: TX U3248) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036154159) | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-05-09 |