| NPI | 1750796066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301106082) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036143704) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-02-24 |