| NPI | 1386218147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-171797) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5151015221) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-09-12 |