| NPI | 1972181345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036.170712) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 186665) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-07-24 |