| NPI | 1831100569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036084178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036084178) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2014-02-12 |