NPI | 1760583629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036114356) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IL 036114356) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2021-12-03 |