| NPI | 1982820643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036133013) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 047947) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-08-10 |