| NPI | 1164092060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036176259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 59218) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2025-10-21 |