NPI | 1851881296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036157102) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 336116490) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2021-09-27 |