NPI | 1194099036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036141296) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02006639A) |
207Q00000X Family Medicine (Licence: IL 125-062488) | |
Enumeration Date | 2012-02-23 |
Last Update Date | 2023-04-14 |