| NPI | 1932786555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 13937238-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125078604) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2024-07-08 |