| NPI | 1477114064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036161107) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT217511) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-07-31 |