NPI | 1083148464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.152795) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 70234-20) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2020-12-20 |