| NPI | 1063651909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-125935) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-052461) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2022-02-02 |