| NPI | 1154419661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036119747) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301078838) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-12-30 |