| NPI | 1730337254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A109790) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125053430) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2021-12-15 |