| NPI | 1851966543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-176432) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0072025) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2025-09-15 |