NPI | 1700267465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A163089) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A163089) |
207R00000X Internal Medicine (Licence: IL 125-067672) | |
208000000X Pediatrics (Licence: CA A163089) | |
208000000X Pediatrics (Licence: IL 125-067672) | |
208D00000X General Practice (Licence: IL 125-067672) | |
Enumeration Date | 2015-06-17 |
Last Update Date | 2023-04-02 |