| NPI | 1386838399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 38997) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-125497) |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2013-03-15 |