| NPI | 1972694685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036139138) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 059470) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2025-01-03 |