| NPI | 1912572926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 171020) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A201427) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2025-07-17 |