| NPI | 1871657528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 32792) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036087439) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2016-08-11 |