| NPI | 1275619314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM A-1896-15) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.126547) |
| 207Q00000X Family Medicine (Licence: NM A138006) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2015-10-29 |