| NPI | 1467730721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.128624) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036128624) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2013-07-29 |