| NPI | 1851740930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U5107) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.015377) |
| 207Q00000X Family Medicine (Licence: IL 036.148576) | |
| 207Q00000X Family Medicine (Licence: FL OS20732) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2024-12-20 |