| NPI | 1477783918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME105146) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036096494) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2013-10-16 |