| NPI | 1285897967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: IL 036-127497) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-127497) |
| 207Q00000X Family Medicine (Licence: WI 101961) | |
| 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: WI 101961) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2025-06-30 |