| NPI | 1104561737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036.173835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.079301) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2025-06-19 |