| NPI | 1063788107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036136901) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125061825) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2024-07-15 |