| NPI | 1295981421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.126270) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125053278) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2011-03-10 |