NPI | 1336113992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036087173) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 34452) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2015-02-05 |