| NPI | 1831628973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20a17425) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.071126) |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2024-06-26 |