NPI | 1699700658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60424466) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036114371) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2019-11-15 |