| NPI | 1982696191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036101276) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 49187020) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2008-03-14 |