NPI | 1538194675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A80836) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-113299) |
207QS0010X Family Medicine, Sports Medicine (Licence: CA A80836) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2021-12-22 |