| NPI | 1497773717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036118466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A9259) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-03-02 |