| NPI | 1811556152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125074792) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101281022) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2024-09-08 |