| NPI | 1992954465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A126362) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036124636) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2015-03-06 |