| NPI | 1457379711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 059904) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036116034) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-05-01 |