| NPI | 1699331215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-165673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151013491) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2023-08-31 |