| NPI | 1700106028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036134087) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116022241) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2021-08-06 |