| NPI | 1144888041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036159227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116033095) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2022-10-21 |