| NPI | 1457599862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036122921) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 125052153) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2018-10-31 |