| NPI | 1558306787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-115695) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036115695) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2016-01-11 |