| NPI | 1750425849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 40881) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036112093) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-10-23 |