| NPI | 1700135126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C174901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036137067) |
| 207R00000X Internal Medicine (Licence: IL 125062446) | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2025-08-01 |