| NPI | 1215134689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A124180) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036127031) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125-053674) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2018-09-26 |