| NPI | 1548586548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301105194) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-058316) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2014-12-12 |