| NPI | 1376166546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125076527) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.076527) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2023-10-17 |