| NPI | 1780905349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H0075379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058653) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2015-04-21 |