| NPI | 1316912892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2008014947) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036103546) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2017-10-17 |