| NPI | 1609511047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.173610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125079492) |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2025-09-22 |