| NPI | 1811929474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-107772) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00039065) |
| 207Q00000X Family Medicine (Licence: IN 01074721a) | |
| 207Q00000X Family Medicine (Licence: IL 036107772) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-08-10 |