| NPI | 1639818032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036176750) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.080467) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2025-09-05 |