| NPI | 1316992993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036088481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 63539-20) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2025-12-15 |