NPI | 1073620175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-110347) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 5538) |
207Q00000X Family Medicine (Licence: WI 47901) | |
Enumeration Date | 2006-08-24 |
Last Update Date | 2018-10-22 |