| NPI | 1750745337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2025044988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036166862) |
| 207R00000X Internal Medicine (Licence: IA 05624) | |
| 207R00000X Internal Medicine (Licence: MI 5151012982) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2025-11-24 |