| NPI | 1811334691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125062776) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125062776) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2014-06-30 |