| NPI | 1740399534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C55047) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036109222) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-11-29 |