| NPI | 1265894711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.149749) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.068671) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-05-12 |