| NPI | 1043746449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.172480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A169313) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2026-07-10 |