| NPI | 1790924496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036127787) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125054185) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2021-08-12 |