NPI | 1821319799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036132015) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125027295) |
207Q00000X Family Medicine (Licence: IL 036132015) | |
Enumeration Date | 2010-06-15 |
Last Update Date | 2024-10-17 |