| NPI | 1659680015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: IL 036132377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036132377) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2023-02-07 |