| NPI | 1003548702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.173087) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.081041) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2024-12-30 |