NPI | 1609143288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C168168) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036134819) |
Enumeration Date | 2011-11-25 |
Last Update Date | 2024-08-20 |