| NPI | 1114599370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125077767) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036171403) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2025-10-14 |