| NPI | 1669783106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 106745) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125058258) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2013-08-20 |