| NPI | 1629658455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036.171169) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.079278) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2025-02-21 |