NPI | 1750919452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036166328) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125075639) |
Enumeration Date | 2020-03-29 |
Last Update Date | 2023-11-01 |