| NPI | 1891176830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-147081) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS18751) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-07-20 |