| NPI | 1366018061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036172191) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.078563) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-11-04 |