| NPI | 1144858440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125.075935) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036165001) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-01-11 |