| NPI | 1245526680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036135529) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG154577) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2016-08-10 |