| NPI | 1861420713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036061434) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 0104012B) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-01-09 |