| NPI | 1174748735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036-058247) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036058247) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |