| NPI | 1356607881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036163298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301108429) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2026-04-29 |