| NPI | 1467731950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME118504) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-060706) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2016-08-18 |