| NPI | 1871560342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M6817) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036101619) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2015-02-26 |