| NPI | 1326386731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.131891) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ZZ 66628) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2021-02-16 |