| NPI | 1184018533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036176478) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R6393) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2025-10-20 |