| NPI | 1154827038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301504859) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125072831) |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2021-08-05 |