| NPI | 1558316117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-107936) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-107936) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036107936) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-05-25 |