| NPI | 1598408635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036175985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.079246) |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2025-10-15 |