| NPI | 1376278671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036175737) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A222725) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2026-10-05 |