| NPI | 1578150389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 71001) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036177169) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2025-10-13 |