NPI | 1891377628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125077479) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.077479) |
Enumeration Date | 2021-04-21 |
Last Update Date | 2021-08-11 |