| NPI | 1750543179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036121045) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008033794) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2021-10-01 |