NPI | 1770690851 |
---|---|
Former Name | JILL TONI GINSBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00026821) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD19143) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2007-07-08 |