NPI | 1750553814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036119881) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.119881) |
Enumeration Date | 2008-03-29 |
Last Update Date | 2012-06-05 |