NPI | 1730342379 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125052170) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P1043) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2024-06-27 |