| NPI | 1902873573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36074685) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 36074685) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2009-07-27 |