| NPI | 1770936692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301509904) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036148068) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2023-10-12 |