| NPI | 1184152118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036164363) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101023027) |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2023-04-17 |