| NPI | 1992963243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036123417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P21252) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2009-07-02 |