| NPI | 1467847962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036157028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP771) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2021-08-05 |