| NPI | 1689645202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036095357) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 36-95357) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2014-04-16 |