| NPI | 1013124296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036171538) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: MA 232853) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-09-12 |