| NPI | 1073511143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036112368) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C137361) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2019-12-23 |