| NPI | 1154333169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P8321) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036115387) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2014-12-29 |