| NPI | 1568877454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD462355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065296) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2019-09-16 |