| NPI | 1184296634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A192281) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036170229) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2025-10-28 |