| NPI | 1710549415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036162703) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.07502) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2023-02-15 |