| NPI | 1699871293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-095548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036095548) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2021-12-20 |