| NPI | 1659498822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 51012) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036111059) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2013-10-01 |