| NPI | 1770747743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036128030) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125053050) |
| 207R00000X Internal Medicine (Licence: IL 125053050) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2024-07-02 |