| NPI | 1306010756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036119427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60816218) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2023-07-14 |