| NPI | 1285851246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036115420) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 49212020) |
| 207Q00000X Family Medicine (Licence: FL ME85965) | |
| 207Q00000X Family Medicine (Licence: IN 01054779A) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-09-27 |