| NPI | 1346448867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036130623) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 5733) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-28 |