| NPI | 1407341118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.157745) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036157745) |
| 207Q00000X Family Medicine (Licence: IL 125073304) | |
| 207Q00000X Family Medicine (Licence: IL 12507304) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2021-08-04 |