| NPI | 1366821811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036146514) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP61101964) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2026-06-06 |