NPI | 1841586799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036134967) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125060221) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2016-10-17 |