| NPI | 1558366591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036093515) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036093515) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-04-22 |