| NPI | 1992234504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-153194) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125070186) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2020-12-07 |