| NPI | 1518340058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 18473) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125070732) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2021-12-17 |