| NPI | 1538478565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036141109) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD 100669) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2019-07-02 |