| NPI | 1215227574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036135851) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.060009) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2022-04-20 |