| NPI | 1225304322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036136377) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-061735) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: IL 036136377) | |
| 207Q00000X Family Medicine (Licence: WI 64086) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2026-03-10 |