| NPI | 1902045990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202K00000X (Licence: IL 036128848) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036128848) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2023-03-28 |