NPI | 1427589134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.152987) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125070253) |
Enumeration Date | 2017-03-23 |
Last Update Date | 2023-12-14 |