| NPI | 1346505278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125060772) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA md4007) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2023-02-20 |