| NPI | 1124031281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N7985) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036103208) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2012-11-15 |