NPI | 1366070021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-163545) |
Additional Taxonomies | 208D00000X General Practice (Licence: IL 036163545) |
Enumeration Date | 2020-03-30 |
Last Update Date | 2023-11-08 |