| NPI | 1215386800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036167275) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 78755) |
| 207Q00000X Family Medicine (Licence: FL TPME4914) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2026-03-20 |