| NPI | 1699416602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125080999) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125080999) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-07-22 |