| NPI | 1659532877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036120550) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.120550) |
| 208000000X Pediatrics (Licence: IL 036.120550) | |
| 208000000X Pediatrics (Licence: IL 036120550) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-03-07 |