| NPI | 1538541388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036145162) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-067779) |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2021-12-29 |