| NPI | 1124256136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036128798) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125056978) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2021-03-18 |