| NPI | 1609809508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 261400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036106175) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-06-26 |