| NPI | 1225775984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036171762) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.079878) |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2025-06-23 |