| NPI | 1790744555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 336.043935) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036081580) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2024-03-15 |