| NPI | 1184235392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125076756) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61411705) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2023-07-18 |