NPI | 1992933923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-129167) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.129167) |
Enumeration Date | 2009-06-29 |
Last Update Date | 2021-02-01 |