| NPI | 1477948040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 85696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036146809) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2020-07-15 |