| NPI | 1861408510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036105942) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A85638) |
| 207Q00000X Family Medicine (Licence: GA 54267) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2021-12-08 |