| NPI | 1659495117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G86510) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-081844) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-11-17 |