NPI | 1902160856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036137085) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 61119) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2024-09-03 |