| NPI | 1710015664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-101261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036101261) |
| 208000000X Pediatrics (Licence: IL 36101261) | |
| 208000000X Pediatrics (Licence: IL 036-101261) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-03-01 |