| NPI | 1891767240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G139742) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036081548) |
| 207Q00000X Family Medicine (Licence: WI 30516) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-05-18 |