| NPI | 1376734202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.123445) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R1108) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2019-12-30 |