| NPI | 1235705955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 25230) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036166494) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2026-10-08 |