NPI | 1063788107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036136901) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125061825) |
Enumeration Date | 2012-03-22 |
Last Update Date | 2024-07-15 |