| NPI | 1326600115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01087527A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073913) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2022-10-15 |