| NPI | 1609339159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A202849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.165304) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-08-20 |