| NPI | 1558380543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036069283) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO R3E88) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-11-11 |