| NPI | 1497136733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102208043) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036147288) |
| 207Q00000X Family Medicine (Licence: IL 125-067609) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-03-26 |