| NPI | 1437718384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.158962) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2021004767) |
| 207Q00000X Family Medicine (Licence: MO 2019018922) | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2022-08-23 |