NPI | 1902045990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 202K00000X (Licence: IL 036128848) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036128848) |
Enumeration Date | 2009-02-13 |
Last Update Date | 2023-03-28 |