| NPI | 1760670913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-119903) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-053864) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2008-02-23 |