| NPI | 1184945206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-148815) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 255309) |
| 207Q00000X Family Medicine (Licence: MA 245248) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2020-07-20 |