| NPI | 1457798324 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085N0700X  (Licence: IL 036.145619)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103148)  | 
| Enumeration Date | 2013-05-31 | 
| Last Update Date | 2018-06-22 |