NPI | 1326334103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036134988) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125060230) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2019-12-27 |