| NPI | 1215047782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA G136098) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036094217) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-08-26 |