| NPI | 1821558990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036159832) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.075132) |
| 207Q00000X Family Medicine (Licence: IL 125075132) | |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2022-10-04 |