| NPI | 1710393210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125065944) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-09-15 |