| NPI | 1114125028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-123522) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 233367) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-04-25 |