| NPI | 1497816268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036.120343) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 000035049) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-06-29 |