| NPI | 1801162565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A154735) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.137560) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-08-20 |