| NPI | 1154940377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036170728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.170728) |
| 208000000X Pediatrics (Licence: IL 036170728) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2025-06-05 |