NPI | 1013495878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.156581) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-044483) |
Enumeration Date | 2018-08-03 |
Last Update Date | 2023-02-09 |