| NPI | 1326075615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0077321) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036089950) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2014-04-21 |