| NPI | 1407021629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: GA 0920-91580) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-116883) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2015-05-18 |