| NPI | 1831161132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-104170) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2015030335) |
| 207Q00000X Family Medicine (Licence: CA C149479) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2022-06-20 |