| NPI | 1760641773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-122314) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-051275) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2010-07-30 |