NPI | 1306305677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036168726) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2022021117) |
Enumeration Date | 2019-03-17 |
Last Update Date | 2024-04-30 |