| NPI | 1649915034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036173532) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.079358) |
| Enumeration Date | 2022-05-01 |
| Last Update Date | 2025-08-07 |