| NPI | 1598723058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C54134) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 36112814) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2010-05-28 |