NPI | 1134616204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.171416) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 20211034697) |
207Q00000X Family Medicine (Licence: IL 125073404) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-15 |
Last Update Date | 2024-09-27 |