| NPI | 1669746988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036140038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264956) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2025-05-01 |