| NPI | 1134140247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036122361) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 48743) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-02-08 |