| NPI | 1285294363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036158395) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125075060) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-04-19 |