| NPI | 1538194675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A80836) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-113299) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: CA A80836) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-12-22 |