| NPI | 1780798173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 42524) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036071787) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2014-08-27 |