| NPI | 1285213611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036176919) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 36399) |
| Enumeration Date | 2021-04-04 |
| Last Update Date | 2025-09-24 |