| NPI | 1619130317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036128773) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11014189A) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2014-11-06 |