| NPI | 1134171085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036119205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 36396) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-07-28 |