NPI | 1750952115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125078090) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.078090) |
Enumeration Date | 2021-07-07 |
Last Update Date | 2021-07-07 |