NPI | 1659495117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G86510) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-081844) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2007-11-17 |