| NPI | 1841593316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 18103) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036135928) |
| 207Q00000X Family Medicine (Licence: OH 35135370) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2026-06-02 |