| NPI | 1104389816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036173170) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11429) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2025-05-06 |