| NPI | 1629018528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 91829) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036112364) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-02-24 |