| NPI | 1043418189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301105462) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036122465) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2018-06-22 |