| NPI | 1346477429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 272444) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125056825) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2014-12-11 |