| NPI | 1124348321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301102289) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125057982) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2013-05-03 |