NPI | 1386080943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.149272) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 036.149272) |
Enumeration Date | 2013-05-21 |
Last Update Date | 2025-07-10 |