| NPI | 1922174341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 012202547) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-111905) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-01-12 |