| NPI | 1053556647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036141914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010024508) |
| 208000000X Pediatrics (Licence: IL 036141914) | |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2016-11-11 |