| NPI | 1689054215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01082138A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066237) |
| 207R00000X Internal Medicine (Licence: IL 036147101) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-08-19 |