| NPI | 1386832939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A104482) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036119875) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2021-12-14 |