| NPI | 1194060061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036137180) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125062506) |
| 207Q00000X Family Medicine (Licence: TX Q6294) | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2016-03-29 |