| NPI | 1760583629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036114356) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: IL 036114356) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-12-03 |