| NPI | 1124767371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036178030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A22088) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2025-12-01 |