NPI | 1386106805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 81009-20) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125074959) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2024-10-22 |