| NPI | 1679556005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 60681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 03608223L) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-08-12 |