| NPI | 1265991152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036157834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073557) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2022-09-06 |