| NPI | 1598008351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 66812) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036141135) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2017-02-03 |