NPI | 1225084585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036085899) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01052316) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2021-12-20 |