| NPI | 1215120811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-119095) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036119095) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2022-11-30 |