NPI | 1760641773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-122314) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-051275) |
Enumeration Date | 2008-06-04 |
Last Update Date | 2010-07-30 |