| NPI | 1285865113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 67745) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.057069) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2014-02-03 |