NPI | 1184064917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036147344) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.147344) |
Enumeration Date | 2013-06-25 |
Last Update Date | 2021-08-11 |