| NPI | 1679144315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE TEP9171) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036168024) |
| Enumeration Date | 2021-07-04 |
| Last Update Date | 2024-03-29 |