NPI | 1184905630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036136411) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125060713) |
Enumeration Date | 2011-08-29 |
Last Update Date | 2023-11-29 |