| NPI | 1043652522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD21361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036138629) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2022-07-19 |