| NPI | 1932299237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 15334) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-060813) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036-060813) | |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2014-12-02 |