| NPI | 1255329546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036088112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01046761A) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2021-12-29 |