NPI | 1285125781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 82107-20) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036154375) |
Enumeration Date | 2018-05-21 |
Last Update Date | 2023-06-29 |