NPI | 1548243694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C151888) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036108641) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2018-03-17 |