| NPI | 1275277550 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1002X Internal Medicine, Physician Nutrition Specialist (Licence: IL 036177603)  | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2024038613)  | 
| 207R00000X Internal Medicine (Licence: MO 2024038613)  | |
| Enumeration Date | 2022-04-23 | 
| Last Update Date | 2025-11-03 |