| NPI | 1932307980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036122053) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125051856) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2019-12-27 |