| NPI | 1922666890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036159680) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102207142) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-06-06 |