| NPI | 1467913855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.164479) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073724) |
| 208000000X Pediatrics (Licence: IL 125.073724) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-10-23 |