| NPI | 1588720601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 64606) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-116805) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2015-01-15 |