NPI | 1386803716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036124439) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125052994) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2016-06-21 |