NPI | 1174505325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.159710) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME88708) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2025-06-11 |