| NPI | 1194457556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.173169) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.080971) |
| Enumeration Date | 2022-06-25 |
| Last Update Date | 2025-08-11 |