| NPI | 1558529909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-123825) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125049895) |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2021-11-18 |