| NPI | 1376905760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036148860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068316) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2021-08-12 |