| NPI | 1275586778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M7623) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-112182) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-09-06 |