| NPI | 1255899688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036159626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073970) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2022-06-22 |