NPI | 1710337977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036161395) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 268313) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2022-10-25 |