| NPI | 1841428026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 15495) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-056430) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2022-10-17 |