| NPI | 1497950240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M9609) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036118401) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2012-06-26 |