NPI | 1982820643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036133013) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 047947) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2021-08-10 |