| NPI | 1538100508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 31914) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-098826) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-03-10 |