| NPI | 1780094714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036148443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102204900) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2021-10-05 |