| NPI | 1821105149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 36101725) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 43048) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-08-22 |