NPI | 1235175498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036121323) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101016834) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2016-11-30 |