| NPI | 1609061753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A82312) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-114467) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2024-04-19 |