| NPI | 1255325320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036147450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 49241) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2021-09-15 |