NPI | 1215348545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-144239) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT206485) |
Enumeration Date | 2014-05-08 |
Last Update Date | 2019-10-21 |