NPI | 1255746376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036.143418) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.064449) |
Enumeration Date | 2014-06-26 |
Last Update Date | 2022-04-20 |