NPI | 1134140247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036122361) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 48743) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2010-02-08 |