NPI | 1407021629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 0920-91580) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-116883) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2015-05-18 |