| NPI | 1255657672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.133984) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ Awaiting) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2013-12-17 |