| NPI | 1780868604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036124754) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125053616) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036.124754) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2015-02-05 |