| NPI | 1831325505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.128802) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125056559) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2012-07-20 |