| NPI | 1336765486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301507723) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.176573) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2025-11-17 |