| NPI | 1003063264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036122637) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125052070) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2024-11-07 |