| NPI | 1659803997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036153995) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A159158) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2021-08-09 |