| NPI | 1295146587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036148297) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-13132) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2019-05-22 |