| NPI | 1972984698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 036150604) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.067468) |
| 207Q00000X Family Medicine (Licence: IL 036150604) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL 036-150604) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2024-03-28 |