NPI | 1356929889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036171140) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH Na) |
Enumeration Date | 2021-03-29 |
Last Update Date | 2024-09-09 |