| NPI | 1093154809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.159212) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A143366) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2022-03-18 |