| NPI | 1871088708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-21961) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036155507) |
| 208D00000X General Practice (Licence: IL 036.155507) | |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2022-08-04 |