| NPI | 1467913194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A19725) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.160815) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-08-28 |