| NPI | 1578724233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125-055234) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.128088) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2011-08-22 |