| NPI | 1225410251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01080576A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125067853) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2018-07-03 |