| NPI | 1154634020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01079021A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058089) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2021-02-17 |