NPI | 1285014829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036146392) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125067454) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2019-12-26 |