| NPI | 1255906103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-171738) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.078329) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2025-05-23 |