| NPI | 1003268954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: IL 036.155764) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7730) |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2021-06-29 |