| NPI | 1770541369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036123085) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34007131C) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2010-07-25 |