| NPI | 1922362623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036144032) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A129087) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2022-07-21 |