| NPI | 1598783193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-106823) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME110366) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-04-17 |