NPI | 1376503557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036087780) |
Additional Taxonomies | 174400000X Specialist (Licence: IL 036087780) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2025-08-15 |