| NPI | 1326155425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 40561) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-079133) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |