| NPI | 1639560303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036156665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071959) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2021-07-12 |