| NPI | 1215665294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301513505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125080023) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2025-07-22 |