| NPI | 1609143288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C168168) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036134819) |
| Enumeration Date | 2011-11-25 |
| Last Update Date | 2024-08-20 |