| NPI | 1619384674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.143862) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.066015) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2022-07-21 |