| NPI | 1740912492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 109629) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125080015) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-12-05 |