NPI | 1306133376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-153918) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A129344) |
207Q00000X Family Medicine (Licence: MI 4301098734) | |
Enumeration Date | 2011-06-29 |
Last Update Date | 2023-08-16 |