| NPI | 1487842688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036088246) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125053689) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2013-04-26 |