| NPI | 1700112042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.129638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009021717) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2012-03-12 |