| NPI | 1215468301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036152854) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.070245) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2021-12-15 |