| NPI | 1154985521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 81306-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036169763) |
| 207R00000X Internal Medicine (Licence: WI 8857-851) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2024-09-19 |