| NPI | 1639213242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036116557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 33339-20) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2025-06-17 |