| NPI | 1881046050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-148179) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-068172) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2019-07-22 |