| NPI | 1083234603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036175966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 14617) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2025-09-10 |