| NPI | 1538367586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036120560) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-049555) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2019-12-23 |