| NPI | 1982925657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036146000) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-3634) |
| 207Q00000X Family Medicine (Licence: CO DR0052150) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-09-12 |