| NPI | 1407408073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036158555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125074735) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2022-07-13 |