| NPI | 1134411747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 7169) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036135294) |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2017-04-19 |