NPI | 1750541454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036127086) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-127086) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2021-07-02 |