| NPI | 1104288596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036148752) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.069068) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2021-08-16 |