| NPI | 1982108684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-157812) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS16371) |
| 208D00000X General Practice (Licence: FL OS16371) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-08-17 |