| NPI | 1659717221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036138422) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-062613) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2016-10-10 |