| NPI | 1700578226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125081684) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.081684) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |