| NPI | 1922520022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036153090) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125071542) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2021-03-10 |