NPI | 1396199162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036150064) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125069323) |
Enumeration Date | 2016-04-19 |
Last Update Date | 2024-11-07 |