| NPI | 1306133376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-153918) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A129344) |
| 207Q00000X Family Medicine (Licence: MI 4301098734) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2023-08-16 |