| NPI | 1760731681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036154087) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 1184) |
| 207P00000X Emergency Medicine (Licence: IL 036154087) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2023-08-30 |