| NPI | 1053805259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125073165) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 63535) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-05-14 |