| NPI | 1649852427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036171006) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V7540) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2025-06-23 |