NPI | 1184316085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125.081519) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL G620201707940) |
Enumeration Date | 2023-05-22 |
Last Update Date | 2023-05-22 |