| NPI | 1578667200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD19626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-102371) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2023-08-03 |