| NPI | 1669672804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036133279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232396) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2013-07-26 |