NPI | 1649218397 |
---|---|
Former Name | KATHLEEN H MALOUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036078007) |
Additional Taxonomies | 174400000X Specialist (Licence: IL 036078007) |
207V00000X Obstetrics & Gynecology (Licence: IL 036078007) | |
Enumeration Date | 2006-06-03 |
Last Update Date | 2024-01-29 |