NPI | 1396928149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036.089238) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036089238) |
Enumeration Date | 2007-12-14 |
Last Update Date | 2014-01-02 |