NPI | 1073627634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: IL 036-058438) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036058438) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2009-01-20 |