| NPI | 1780669804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036093764) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0073938) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2023-08-03 |