NPI | 1669967113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125072125) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036157492) |
Enumeration Date | 2018-06-27 |
Last Update Date | 2024-02-19 |