NPI | 1023160488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036123729) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A69729) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2019-01-11 |