NPI | 1649325929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036053399) |
Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: IL 036053399) |
208D00000X General Practice (Licence: IL 036053399) | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2010-04-14 |