NPI | 1710142880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N6235) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.125545) |
207Q00000X Family Medicine (Licence: TX BP10028672) | |
Enumeration Date | 2008-07-28 |
Last Update Date | 2019-11-04 |