| NPI | 1093100893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.156485) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A146952) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-07-26 |