| NPI | 1609226869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.165876) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 267880) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-11-07 |