| NPI | 1083036792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 20-5676237) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 149017946) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2015-10-11 |