NPI | 1962453456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036087496) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036087496) |
207Q00000X Family Medicine (Licence: IN 01077801A) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2022-11-14 |