| NPI | 1851798417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 149719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036142050) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2018-11-01 |