| NPI | 1467913962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301509359) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036160598) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-09-05 |