| NPI | 1831329754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 19308) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.056064) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2020-04-17 |