| NPI | 1346236775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D70056) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-105536) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2015-07-14 |