| NPI | 1841932530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125.082404) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036179660) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2026-06-29 |