| NPI | 1508030057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036-116808) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-116808) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2021-03-24 |