NPI | 1093977530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 036127334) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036127334) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2021-02-17 |