| NPI | 1932558574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 102143) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.153384) |
| 208600000X Surgery (Licence: IL 125.069032) | |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2024-08-27 |