| NPI | 1033199369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036116813) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 3463) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-09 |