NPI | 1295239861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.142175) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.166476) |
207Q00000X Family Medicine (Licence: DE C1-0028069) | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2025-04-02 |