| NPI | 1841665098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036165634) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125075536) |
| 207Q00000X Family Medicine (Licence: IL 125.075536) | |
| Enumeration Date | 2015-12-13 |
| Last Update Date | 2023-12-06 |