| NPI | 1407030596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036-065262) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IL 036-065262) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 036-065262) | |
| Enumeration Date | 2007-12-25 |
| Last Update Date | 2007-12-25 |