| NPI | 1194780049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036114594) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 35981) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2015-02-05 |