| NPI | 1679510804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036092056) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036092056) |
| 207Q00000X Family Medicine (Licence: IN 01081107B) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2021-02-04 |