| NPI | 1184814790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.009759) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036120087) |
| 207Q00000X Family Medicine (Licence: OH 34-009759) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2014-11-04 |