| NPI | 1972769438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036129084) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A103162) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036129084) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2020-12-08 |