| NPI | 1366063760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036165430) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125075965) |
| 207Q00000X Family Medicine (Licence: IL 125.075965) | |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2023-08-07 |