| NPI | 1841684107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036167504) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 69116) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-12-18 |