NPI | 1467899963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60874729) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036138824) |
Enumeration Date | 2013-05-24 |
Last Update Date | 2021-06-23 |