NPI | 1255519310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036062571) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WI 2825020) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2008-01-31 |