| NPI | 1619317450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A139072) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125063300) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2016-09-22 |