| NPI | 1841446473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-141114) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT192430) |
| 207Q00000X Family Medicine (Licence: PA MD443149) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2020-11-04 |