| NPI | 1669095568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125076305) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.076305) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2021-08-10 |