| NPI | 1700365210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01085845A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125072535) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2022-10-14 |