| NPI | 1962845941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 189-320) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036139875) |
| 207Q00000X Family Medicine (Licence: IL 036-139875) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2018-07-31 |