| NPI | 1548243694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C151888) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036108641) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2018-03-17 |