| NPI | 1861021685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.163789) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125076111) |
| 208D00000X General Practice (Licence: IL 036163789) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2023-11-07 |