| NPI | 1881635654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 12559) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-112581) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2014-09-29 |