| NPI | 1952837148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036152298) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125069990) |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2021-08-09 |