| NPI | 1376819870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.136859) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125062411) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2016-01-11 |