NPI | 1861913899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036153472) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125071403) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2023-08-16 |