| NPI | 1720508195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-13428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.069777) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2020-08-04 |