| NPI | 1861418923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P8328) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-112510) |
| 207Q00000X Family Medicine (Licence: MO 2010035689) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-03-22 |