| NPI | 1912571829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A195892) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125079548) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-12-15 |