| NPI | 1245539725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036134587) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.134587) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2020-01-12 |