| NPI | 1851881296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036157102) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 336116490) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2021-09-27 |