| NPI | 1578599262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036111580) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 54678) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2022-07-06 |