NPI | 1255851218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.152845) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071215) |
208000000X Pediatrics (Licence: IL 125.071215) | |
Enumeration Date | 2017-06-21 |
Last Update Date | 2023-06-01 |