NPI | 1184897357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036116092) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WI 51511) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2023-10-16 |