| NPI | 1578913521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036149837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069156) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2025-02-03 |