NPI | 1538119268 |
---|---|
Former Name | MARLA KUSHNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036075717) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 03675717) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2021-12-17 |