| NPI | 1043219736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036133526) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 38999) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2013-12-09 |