| NPI | 1962436782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G175785) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-103486) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-09-09 |