NPI | 1720548472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125073638) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 1720548472) |
Enumeration Date | 2019-03-20 |
Last Update Date | 2023-01-13 |