| NPI | 1295395317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.159651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021029073) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2023-10-26 |