| NPI | 1952390437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C53121) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036094447) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2008-01-15 |