NPI | 1689195778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.157350) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125071485) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036.157350) | |
Enumeration Date | 2017-06-29 |
Last Update Date | 2023-02-15 |