| NPI | 1235175498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036121323) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101016834) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-11-30 |