NPI | 1992954465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A126362) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036124636) |
Enumeration Date | 2008-09-09 |
Last Update Date | 2015-03-06 |