NPI | 1003548702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.173087) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.081041) |
Enumeration Date | 2022-06-30 |
Last Update Date | 2024-12-30 |