| NPI | 1942646518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036141059) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-9646) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2019-03-01 |