| NPI | 1326333618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036134797) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A136892) |
| 207Q00000X Family Medicine (Licence: IL 125059834) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: IL 125059834) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: IN 01078174A) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2023-02-06 |