| NPI | 1477997146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD21755) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125063557) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2017-11-17 |