| NPI | 1467715748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A154882) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036141284) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2020-11-19 |