| NPI | 1396127890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-144794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066136) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-04-25 |