NPI | 1285049536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 89590) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036143767) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2022-06-01 |