NPI | 1124256136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036128798) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125056978) |
Enumeration Date | 2009-06-29 |
Last Update Date | 2024-07-23 |