| NPI | 1679824700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01075756A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061911) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2020-10-02 |