| NPI | 1407997927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.153785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097053) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2021-11-15 |