| NPI | 1891361846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.171084) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5151015034) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-09-09 |