| NPI | 1841872512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-143662) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.169521) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2025-04-03 |