| NPI | 1821268434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C129318) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-119013) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2019-02-12 |