| NPI | 1891225611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A19195) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036151770) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-01-11 |