| NPI | 1639527229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036152968) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301109759) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2023-03-07 |