| NPI | 1558673228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036130229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055774) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2018-05-02 |