| NPI | 1700232733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036148337) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL H63052587921) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2024-03-14 |