| NPI | 1376512475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036124785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 155903) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-07-01 |