NPI | 1689802282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036131286) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125057077) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2019-12-24 |