NPI | 1154908812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-17767) |
Additional Taxonomies | 208D00000X General Practice (Licence: IL 036.166682) |
Enumeration Date | 2021-03-26 |
Last Update Date | 2024-08-29 |