| NPI | 1437730876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125077432) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.077432) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2021-08-12 |