| NPI | 1891312443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036165058) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE TEP8748) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-06-25 |