| NPI | 1972625333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-087610) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036087610) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2021-08-11 |