| NPI | 1598791170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036090272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 3041) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2013-01-07 |