| NPI | 1215459664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-153580) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301113415) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2025-07-02 |