| NPI | 1669118444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101028525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 390200000X) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2025-06-13 |