| NPI | 1568674687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 062599) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-048742) |
| 146D00000X Personal Emergency Response Attendant (Licence: IL 036119225) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-10-09 |