| NPI | 1427498732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036139912) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125062694) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2016-08-26 |